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Senators urge action on physician payment cut
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Mary Washington Healthcare latest to outsource revenue cycle
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CommonSpirit, University of Utah Health team on access
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Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
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UnitedHealthcare wins lawsuit over star ratings
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Health system operating margins declined in August
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US healthcare system ranks last in equity, access
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CFPB warns of illegal tactics by medical debt collectors
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Denials top reason for eroding provider-payer relationship
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Elevance laying off 123 California employees
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UAB, Press Ganey launch certificate program for healthcare leaders
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Healthcare chatbots may promote racist misinformation
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Hospitals, physicians submit opposing views to FTC ruling
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Alabama hospital expanding behavioral health
Compliance & Legal
Anesthesiologist sentenced to 190 years for IV bag tampering
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Planned Parenthood, other groups decry House bill
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AMA pushes for stricter standards for hospital charity care policies
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NAACOS pushes ACO REACH extension
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SDOH, tech key to advancing value-based care
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Cleveland Clinic and Amazon One Medical collaborate
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Interoperability in healthcare moving forward despite challenges
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VillageMD CEO steps down
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
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Ex-pharma head sentenced in $11.5M Medicare fraud case
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
CMS announces obesity drug coverage
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Reproductive care, including abortion, facing challenges
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UPMC for You offers Medicaid redetermination coverage in laundromats
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Telehealth prescribing of controlled drugs extended
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CHS and Woodbridge end $120 million deal
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
CMS announces obesity drug coverage
UnitedHealthcare wins lawsuit over star ratings
Express Scripts, Caremark, OptumRx sue FTC
Reimbursement
Dec 02 | Jeff Lagasse
Ex-pharmacy owner sentenced in $11.5 million Medicare fraud case
Aftab Hussain and his associates were found to have paid illegal kickbacks to patients to ensure they would use certain…
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Nov 26 | Susan Morse
UnitedHealthcare wins lawsuit over star ratings
CMS is ordered to recalculate the star ratings without consideration of a "secret shopper" call that framed the dispute.
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Nov 25 | Susan Morse
Senators urge action on physician payment cut before end of lame duck session
With three weeks remaining in the legislative calendar, 41 senators have signed a letter to Senate leaders.
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Nov 21 | Susan Morse
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
Mike Pykosz, who has served in that role and confounded Oak Street Health, is leaving CVS.
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Nov 19 | Susan Morse
Elevance, UnitedHealth among insurers accused of alleged price fixing
The complaint claims the scheme was aimed at suppressing payment rates to doctors for out-of-network services.
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Nov 14 | Susan Morse
Denials top reason for eroding provider-payer relationship
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
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Nov 07 | Susan Morse
Walgreens pays $100 million to settle class action drug case
Insured customers paid more for drugs than members of its Prescription Savings Club, lawsuit alleges.
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Nov 06 | Susan Morse
Elevance latest insurer to sue over Medicare Advantage star ratings
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
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Nov 06 | Jeff Lagasse
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.
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Nov 05 | Susan Morse
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
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